Our Work

Sachs Policy Group provides regular briefings on policy developments and funding opportunities of interest to our clients. Below is a sample of recent updates covering state and federal legislation, regulatory changes, and funding opportunities. SPG walks through new threats and opportunities with clients as they arise.

Retro HCBS Rate Increases

August 16, 2017
On July 21st, New York State announced that the Centers for Medicare and Medicaid Services (CMS) have approved a retroactive rate increase for several of the Behavioral Health Home and Community Based Services (BH HCBS) available to qualifying members of Health and Recovery Plans (HARP) and HIV Special Need Plans (HIV SNP). A short summary ... ... Read More

CMS Home Health Proposed Rule

August 15, 2017
On July 25th, the Centers for Medicare and Medicaid Services (CMS) released a proposed rule that would update Medicare payment rates for home health agencies (HHAs) in CY 2018, implement a new case-mix methodology for CY 2019, and update reporting requirements to comply with provisions of the Improving Medicare Post-Acute Care Transformation (IMPACT) Act for ... ... Read More

Medicaid DSH Payment Reduction

August 15, 2017
On July 27th, CMS issued a proposed rule that would implement $43 billion in Medicaid DSH payment reductions between federal FYs 2018 and 2025. Legislation has subsequently delayed the cuts, most recently until September 30, 2017. Should the current proposal be implemented, CMS estimates that based on 2017 data New York would see DSH payment ... ... Read More

OPWDD Waiver to Transition IDD to Managed Care

August 11, 2017
On July 24th, the New York State Department of Health (DOH) and Office for People with Developmental Disabilities (OPWDD) posted for public comment a draft amendment to the 1115 Medicaid Redesign Team (MRT) Waiver that would authorize the transition of individuals with intellectual and/or developmental disabilities (I/DD), and of the OPWDD service system, into managed ... ... Read More

DSRIP Progress Update

August 11, 2017
On July 27th, the New York State Department of Health (DOH) Medicaid Redesign Team (MRT) issued an update regarding progress of the Delivery System Reform Incentive Payment (DSRIP) program, which completed its second year of demonstration on March 31st. Notable progress updates include the following: Performing Provider Systems (PPSs) have earned 95% of all available ... ... Read More